Provider Demographics
NPI:1437464880
Name:OWEN, CLAIRE J (PHD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:J
Last Name:OWEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 W 64TH ST
Mailing Address - Street 2:SUITE 10S
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7129
Mailing Address - Country:US
Mailing Address - Phone:212-580-8587
Mailing Address - Fax:212-706-0185
Practice Address - Street 1:20 W 64TH ST
Practice Address - Street 2:SUITE 10S
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7129
Practice Address - Country:US
Practice Address - Phone:212-580-8587
Practice Address - Fax:212-706-0185
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017055103TC0700X, 103TC1900X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy